住院精神病患者约束护理与呼吸道医院感染的关联性研究  

A correlation study about binding nursing and respiratory tract infection among psychotic in-patients

作　　者：金冬[1] 刘雪琴[1] 刘秀英[1] 刘洪光[1] 段卫东[1] 

机构地区：[1]深圳市康宁医院,518020

出　　处：《中国实用护理杂志》2006年第3期42-44,共3页Chinese Journal of Practical Nursing

基　　金：深圳市科技局科研立项课题(编号:200405052)

摘　　要：目的探讨约束护理与呼吸道医院感染的关联性,及呼吸道医院感染的预防控制措施。方法选取住院精神病患者75例,分约束护理≤8h组、约束护理>8h组及无约束组,观察3组患者呼吸道医院感染的发生率,并通过咽拭子细菌培养,分析3组患者口咽部定植菌群的改变。结果约束护理组呼吸道医院感染率达50%,与无约束组比较有显著性差异(P<0.01)。约束>8h组的呼吸道医院感染率高达66.67%,且随约束时间延长而增高(P<0.01)。约束护理组66.67%的患者口咽部定植菌群发生改变,其G-杆菌定植率也高达47.22%(P<0.01)。结论约束护理可并发较高的呼吸道医院感染率,临床应慎用约束护理,并尽量缩短约束时间。Objective To explore the relationship between binding nursing and respiratory tract infection for psychotic in- patients, and make sure the countermeasures. Methods Divided 75 psychotic in- patients into 3 groups randomly, using binding nursing ≤8 hours, binding nursing 〉8 hours and without and binding nursing in these 3 groups respectively. Observed the condition of respiratory tract infection in 3 groups. Results The incidence rate of respiratory tract infection in binding nursing groups was 50%, which was significant higher than that of in no binding nursing group （P〈0.01）. The incidence rate of respiratory tract infection in binding nursing 〉8 hours group was 66.67%, and this rate had an tendency of rising with the time of binding nursing lasting （P 〈 0.01）. Concision Binding nursing can induce the respiratory tract infection, binding nursing time should as soon as possible.

关 键 词：精神病患者 约束护理 呼吸道感染 

分 类 号：R473.74[医药卫生—护理学]